Exam (elaborations)
Sherpath Shock, Sepsis, SIRS, MODS TEST questions and answers.
- Course
- Institution
Sherpath Shock, Sepsis, SIRS, MODS TEST questions and answers.
[Show more]
Content preview
Sherpath: Shock,Sepsis, SIRS, MODS
TEST questions and
answers
A nursing student is caring for a patient who is at risk for shock.
The student asks, "Which laboratory results should I monitor to
see if shock has developed?" How should the instructor
respond?
Shock is a complex condition with various manifestations and
requires monitoring of multiple laboratory results."
-CBC, DIC, cardiac enzymes, creatinine, GFR, BUN, electrolytes,
ABGs, cultures, liver enzymes (one test alone is not enough to
monitor development of shock)
The nurse is caring for a patient who is being treated for shock.
Initial laboratory results show elevated white blood cell (WBC)
counts and an elevated procalcitonin (PCT) level. What do these
laboratory results indicate?
,The patient has shock caused by a systemic bacterial infection.
- An elevated WBC count indicates an infection, and PCT is a
biomarker released in response to a bacterial infection.
Previous
Play
Next
Rewind 10 seconds
Move forward 10 seconds
Unmute
0:00
/
0:15
Full screen
Brainpower
Read More
The nurse is caring for a patient with early signs of shock. Which
laboratory values should the nurse expect?
Respiratory alkalosis
Elevated sodium level
Decreased potassium level
Dobutamine
, ↑ Myocardial contractility
↓ Ventricular filling pressures
↓ Systemic vascular resistance (SVR), pulmonary arterial wedge
pressure (PAWP)
↑ CO, stroke volume, CVP
↑/↓ HR
Cardiogenic shock:Severe systolic dysfunction
Septic shock:↑O2 delivery and raise ScvO2 or SvO2 to 70% if
hemoglobin >7g/dL or hematocrit ≥30%
Administer via central line.
Be careful with other drugs not compatible with dobutamine
infusion.
Monitor vital signs.
Stop infusion if tachydysrhythmias develop.
Dopamine
Positive inotropic effects:
↑ Myocardial contractility
↑ Automaticity
↑ Atrioventricular conduction
↑ HR, CO
↑ BP
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller BRAINBOOSTERS. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78252 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
